Altered resting-state cerebellar-cerebral functional connectivity in patients with end-stage renal disease

AbstractBackground End-stage renal disease (ESRD) patients have functional and structural brain abnormalities. The cerebellum also showed varying degrees of damage. However, no studies on cerebellar-cerebral functional connectivity (FC) have been conducted in ESRD patients. This study aimed to inves...

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Main Authors: Jie Fang, Yingying Miao, Fan Zou, Yarui Liu, Jiangle Zuo, Xiangming Qi, Haibao Wang
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:Renal Failure
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/0886022X.2023.2238829
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author Jie Fang
Yingying Miao
Fan Zou
Yarui Liu
Jiangle Zuo
Xiangming Qi
Haibao Wang
author_facet Jie Fang
Yingying Miao
Fan Zou
Yarui Liu
Jiangle Zuo
Xiangming Qi
Haibao Wang
author_sort Jie Fang
collection DOAJ
description AbstractBackground End-stage renal disease (ESRD) patients have functional and structural brain abnormalities. The cerebellum also showed varying degrees of damage. However, no studies on cerebellar-cerebral functional connectivity (FC) have been conducted in ESRD patients. This study aimed to investigate the changes in cerebellar-cerebral FC in ESRD patients and its relationship with neuropsychological and clinical indexes.Methods Resting-state functional magnetic resonance imaging and neuropsychological assessment were performed on 37 ESRD patients and 35 control subjects. Seed-based FC analysis was performed to investigate inter-group differences in cerebellar-cerebral FC. In addition, the relations of altered FC with the neuropsychological function and clinical indicators were analyzed in ERSD patients.Results ESRD patients exhibited alterations in cerebellar-cerebral FC involving the executive control network, default mode network, and affective-limbic network compared to control subjects (False discovery rate-corrected, p < 0.05). The altered cerebellar-cerebral FC was associated with the Montreal Cognitive Assessment Scale score (p < 0.05), and correlated with serum creatinine and uric acid levels within the ESRD group (p < 0.05).Conclusions The study indicates that cerebellar-cerebral FC is involved in the neural substrates of cognitive impairment in ESRD patients. The findings may provide clinically relevant new neuroimaging biomarkers for the neuropathological mechanisms underlying cognitive impairment of ESRD.
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spelling doaj.art-03b491200d2e432b897ca0c097b3288f2023-10-17T09:23:23ZengTaylor & Francis GroupRenal Failure0886-022X1525-60492023-12-0145110.1080/0886022X.2023.2238829Altered resting-state cerebellar-cerebral functional connectivity in patients with end-stage renal diseaseJie Fang0Yingying Miao1Fan Zou2Yarui Liu3Jiangle Zuo4Xiangming Qi5Haibao Wang6Department of Radiology, The First Affiliated Hospital of Anhui Medical University, Hefei, P.R. ChinaDepartment of Radiology, The First Affiliated Hospital of Anhui Medical University, Hefei, P.R. ChinaDepartment of Radiology, The First Affiliated Hospital of Anhui Medical University, Hefei, P.R. ChinaDepartment of Radiology, The First Affiliated Hospital of Anhui Medical University, Hefei, P.R. ChinaDepartment of Nephrology, The First Affiliated Hospital of Anhui Medical University, Hefei, P.R. ChinaDepartment of Nephrology, The First Affiliated Hospital of Anhui Medical University, Hefei, P.R. ChinaDepartment of Radiology, The First Affiliated Hospital of Anhui Medical University, Hefei, P.R. ChinaAbstractBackground End-stage renal disease (ESRD) patients have functional and structural brain abnormalities. The cerebellum also showed varying degrees of damage. However, no studies on cerebellar-cerebral functional connectivity (FC) have been conducted in ESRD patients. This study aimed to investigate the changes in cerebellar-cerebral FC in ESRD patients and its relationship with neuropsychological and clinical indexes.Methods Resting-state functional magnetic resonance imaging and neuropsychological assessment were performed on 37 ESRD patients and 35 control subjects. Seed-based FC analysis was performed to investigate inter-group differences in cerebellar-cerebral FC. In addition, the relations of altered FC with the neuropsychological function and clinical indicators were analyzed in ERSD patients.Results ESRD patients exhibited alterations in cerebellar-cerebral FC involving the executive control network, default mode network, and affective-limbic network compared to control subjects (False discovery rate-corrected, p < 0.05). The altered cerebellar-cerebral FC was associated with the Montreal Cognitive Assessment Scale score (p < 0.05), and correlated with serum creatinine and uric acid levels within the ESRD group (p < 0.05).Conclusions The study indicates that cerebellar-cerebral FC is involved in the neural substrates of cognitive impairment in ESRD patients. The findings may provide clinically relevant new neuroimaging biomarkers for the neuropathological mechanisms underlying cognitive impairment of ESRD.https://www.tandfonline.com/doi/10.1080/0886022X.2023.2238829End-stage renal diseasecerebellumresting-state fMRIfunctional connectivitycognitive impairment
spellingShingle Jie Fang
Yingying Miao
Fan Zou
Yarui Liu
Jiangle Zuo
Xiangming Qi
Haibao Wang
Altered resting-state cerebellar-cerebral functional connectivity in patients with end-stage renal disease
Renal Failure
End-stage renal disease
cerebellum
resting-state fMRI
functional connectivity
cognitive impairment
title Altered resting-state cerebellar-cerebral functional connectivity in patients with end-stage renal disease
title_full Altered resting-state cerebellar-cerebral functional connectivity in patients with end-stage renal disease
title_fullStr Altered resting-state cerebellar-cerebral functional connectivity in patients with end-stage renal disease
title_full_unstemmed Altered resting-state cerebellar-cerebral functional connectivity in patients with end-stage renal disease
title_short Altered resting-state cerebellar-cerebral functional connectivity in patients with end-stage renal disease
title_sort altered resting state cerebellar cerebral functional connectivity in patients with end stage renal disease
topic End-stage renal disease
cerebellum
resting-state fMRI
functional connectivity
cognitive impairment
url https://www.tandfonline.com/doi/10.1080/0886022X.2023.2238829
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